Director Of Revenue Cycle Management (RCM)

IntelligentDX LLC•Arcadia, CA

1d•$170,000 - $200,000

About The Position

The Director of Revenue Cycle Management oversees revenue cycle operations to support accurate billing, timely reimbursement, effective collections, and strong financial performance. The Director leads teams, monitors results, resolves operational barriers, and ensures established processes are followed. The role is accountable for overall RCM performance, including meeting collection goals, reducing aged accounts receivable and avoidable denials, ensuring timely billing and follow-up, maintaining accurate payment posting and patient balance processes, building a productive and accountable team, and delivering clear reporting and measurable improvement plans. Success is measured by financial results, operational efficiency, team performance, and consistent execution of established processes. This is primarily an office-based role with controlled temperature conditions and limited direct exposure to hazardous physical substances. Noise is usually low to moderate. The employee regularly sits, stands, walks, keyboards, uses fingers to handle or feel, reaches, sees, talks, and hears; frequently lifts or carries materials typically weighing less than 20 pounds; and occasionally stoops, kneels, bends, or crouches. The role requires finger dexterity to use a computer keyboard, calculator, and other standard office equipment. The employee must not engage in activities constituting the practice of ophthalmology as prohibited by applicable law, exercise control over or interfere with the clinician-patient relationship, or assume responsibility for clinicians’ professional services to patients.

Requirements

At least 8 years of healthcare revenue cycle experience; physician practice management experience is preferred.
Prior leadership experience overseeing billing, accounts receivable, collections, or multiple revenue cycle functions.
Strong knowledge of insurance billing, reimbursement, denials, appeals, and payer requirements.
Experience analyzing financial and operational reports and using data to improve performance.
Strong leadership, communication, organization, and problem-solving skills.
Ability to thrive in a dynamic team environment, adapt to changing priorities, and collaborate effectively to meet departmental goals.

Nice To Haves

Experience with California-based insurance payers.
Experience with the Nextech Practice Management System and electronic medical records (EMR).

Responsibilities

Oversee billing, insurance accounts receivable, denial management, payment posting, patient collections, and account resolution.
Ensure claims are submitted accurately and on time, and follow-up is completed before payer deadlines.
Monitor unbilled encounters, aging accounts receivable, denials, zero-pay claims, underpayments, and other revenue opportunities.
Develop and implement action plans to improve reimbursement and prevent avoidable revenue loss.
Manage and support revenue cycle managers and team leads, establishing clear ownership of daily operations.
Set performance expectations, productivity goals, and quality standards; review results and address performance gaps.
Coach, train, and support staff to improve accuracy, productivity, and consistency.
Ensure managers and team leads complete assigned action items and promptly communicate barriers.
Monitor key performance indicators, including collections, accounts receivable aging, denial rates, days in accounts receivable, and billing turnaround time.
Review trends, identify risks, and provide leadership with timely, accurate reporting.
Track progress against established goals and ensure corrective actions are completed.
Maintain consistent workflows, documented procedures, and appropriate controls across revenue cycle functions.
Partner with physicians, practice managers, IT, vendors, and other departments to resolve reimbursement issues.
Ensure compliance with payer requirements, billing regulations, contractual obligations, and filing and appeal deadlines.
Identify system, workflow, and training issues and implement practical solutions.
Take ownership of overall revenue cycle performance, identify issues early, communicate openly with leadership, and ensure action plans are completed.